Individual
JAMES FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(301) 677-8270
(301) 677-8176
Mailing address
2480 LLEWELLYN AVE, FORT GEORGE G MEADE, MD 20755-5800
(301) 677-8270
(301) 677-8176
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
176032
NC
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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